Anesthesia Complication, Physiological Parameter
Conditions
Brief summary
Laparoscopic surgery is widely used now. These benefits included many items, e.g. reducing post-operative pain, cosmetic the result was improved, and the patient also had more satisfaction for the patient and reduced hospital stay. This surgery involved insufflation of gas into the peritoneal cavity, producing pneumoperitoneum, and causing an increase in intra-abdominal pressure. The raised intraabdominal pressure of the pneumoperitoneum, the patient's position alteration, and the absorption of carbon dioxide into the abdomen have a direct effect on causing a change in physiology, especially in the cardiovascular and respiratory systems. These effects, as well as a direct effect of gas insufflation, may have significant effects on the patient especially if the patient has a comorbidity or is elderly.
Detailed description
The objective of this study was to assess the technique used in laparoscopic surgery and their associated complications, including some hematological parameters, (these include blood pictures and liver enzymes), respiratory, (including the inspired and expired tidal volume, oxygen saturation, airway pressure, plateau pressure, and use of PEEP) cardiovascular system (including the systolic, diastolic, and mean blood pressure, heart rate)
Interventions
PROCEDUREgeneral anesthesia drug (like Propofol, esmeron, and ketamin, .effects of pneumoperitoneum
this research will involve the selection of elective cases with ASA class I or II and assessment of patients with respiratory cardiovascular parameters and hematology perioperative
Sponsors
Mohammed Abdulhameed
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
BASIC_SCIENCE
Masking
NONE
Intervention model description
describe techniques of laparoscopic procedures. 2. Discuss complications and assessments of patients who undergo laparoscopic procedures. 3. to assess liver function and hematological effects due to laparoscopic surgery 4. cardiovascular and respiratory squeal due to laparoscopic complication is minor compared to open surgery and can be managed rapidly.
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
1. elective abdominal surgery 2. a healthy, fit person 3. use of general anesthetics 4. use of pneumoperitoneum and CO2 insufflation
Exclusion criteria
1. emergency condition 2. patient with cardiovascular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| blood pressure. | during preoperative, 5 minute, intraoperative every five minute with post operative read after one hour | blood pressure in mmHg, pulse rate in beat per minute |
| AST and ALT liver enzymes were measured, by blood samples taken intravenously in the perioperative period | 5 minute pre-operation and 5 minute postoperative | in unit/liter |
| blood sugar, should measured and assessed with different groups | 5 minute during pre-operative and 15 minute post- operative period | blood sugar in mg/dl |
| end-tidal Co2, measured and compared statistically with other parameter | perioperatively every 5 minute | End-tidal Co2 in CMH2O |
| pulse rate measured continuously during intra-operative and compared with other hemodynamic parameter | 5 minute during preoperative, and continue every 5 minute in perioperatively | beat per minute (BPM) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| measurement of body weight | measured preoperative period by 5 minute and post-operative during 15 minute | in Kg |
Contacts
Primary ContactMohammed Ab. younis, PHD
Backup Contactwissem H. HMIDA, PROFF.
Outcome results
None listed